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Motivation: Longitudinal microbiome studies (LMS) are increasingly common but have analytic challenges including non-independent data requiring mixed-effects models and large amounts of data that motivate exploratory analysis to identify factors related to outcome variables. Although change analysis (i.e. calculating deltas between values at different timepoints) can be powerful, how to best conduct these analyses is not always clear. For example, observational LMS measurements show natural fluctuations, so baseline might not be a reference of primary interest; whereas, for interventional LMS, baseline is a key reference point, often indicating the start of treatment.
Results: To address these challenges, we developed a feature selection workflow for cross-sectional and LMS that supports numerical and categorical data called EXPLANA (EXPLoratory ANAlysis). Machine-learning methods were combined with different types of change calculations and downstream interpretation methods to identify statistically meaningful variables and explain their relationship to outcomes. EXPLANA generates an interactive report that textually and graphically summarizes methods and results. EXPLANA had good performance on simulated data, with an average area under the curve (AUC) of 0.91 (range: 0.79-1.0, SD = 0.05), outperformed an existing tool (AUC: 0.95 vs. 0.56), and identified novel order-dependent categorical feature changes. EXPLANA is broadly applicable and simplifies analytics for identifying features related to outcomes of interest.
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http://dx.doi.org/10.1101/2024.03.20.585968 | DOI Listing |
Infection
September 2025
Research Unit for Environment, Work and Health, Department of Public Health, Aarhus University, Bartholins Allé 2, Building 1260, Aarhus C, DK-8000, Denmark.
Background: Livestock-MRSA (methicillin-resistant Staphylococcus aureus) can cause infections in persons without known contact to livestock, but the route of transmission is unclear. We investigated whether the risk of livestock-MRSA infection among persons with no known contact to livestock is associated with the number of pig farms near the home, and whether this association is affected by the upwind/downwind location of the farms.
Methods: Register-based case-control study of 518 persons from Denmark with clinical infections with livestock-MRSA in 2016-2021 and no known exposure to livestock, and 4,944 matched controls.
J Autism Dev Disord
September 2025
Université Paris Cité, LPPS, F-92100, Boulogne-Billancourt, France.
Parents of adults with autism spectrum disorders (ASD) face significant challenges, including high vulnerability to stress and a lack of adequate support services. However, there are currently few support systems based on a genuine assessment of their needs. This is particularly true in the French context, where there are delays in supporting families and addressing autism in adulthood.
View Article and Find Full Text PDFScand J Caring Sci
September 2025
Department of Nursing, University of Seville, Seville, Spain.
Background: The nurse-patient relationship is central to quality nursing care, yet its impact remains difficult to quantify. While existing models assess caring competencies from the perspective of nursing students and professionals, there is a lack of validated instruments incorporating direct patient feedback.
Objective: This study aimed to develop and validate the Nursing Interaction in Caring_Competence Assessment-Patient (NIC_CA-Patient) tool, a patient-centred instrument designed to measure caring interaction in nursing practice and establish a predictive model of its development from the patient's perspective.
Knee Surg Sports Traumatol Arthrosc
September 2025
Biomechanics Laboratory, School of Physical Education & Sport Science at Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Purpose: Total knee arthroplasty (TKA) is associated with acute postoperative effects that increase the risk of falls. These effects differ between the medial parapatellar (PP) and mid-vastus (MV) surgical techniques but have not been evaluated in terms of postural sway complexity. Loss of this complexity leads to increased randomness in the center of pressure and higher fall risk.
View Article and Find Full Text PDFDeath Stud
September 2025
Institute for Psychology, University of Duisburg-Essen, Essen, Germany.
The Pet Bereavement Questionnaire (PBQ) assesses grief after the death of a companion animal. A German translation is lacking. Participants (N = 301, aged 18-63 years, 77% women) responded to an online survey containing the German version of the PBQ, further measures of grief severity, symptoms of depression and attachment to animals.
View Article and Find Full Text PDF